Riccar® The First Name in Vacuums That Last
8 Pound
Central Vacuums
Zone Heaters
Air Purifiers
Additional Models
Product Registration
Your answers and opinions are very important to us. Riccar will not sell any information given in this form to third parties. The supplied information will be kept private and confidential.
Please click submit 'only once' and fill in the fields marked with *
Salutation Dr. Mr. Mrs. Ms. Miss
* First Name
* Last Name
* Address 1
Phone Number
( -
Address 2
* City
* State/Province
* Zip
* E-mail Address
* Confirm E-mail Address
* Date of Purchase
/ /
Dealer Name
Dealer Address
Dealer City
Dealer State/Province
Dealer Zip
Dealer Country

* Would you like to receive specials, discounts, or promotional notices?
Model Number*
Second Model Number
(if second product/power nozzle was purchased) 
Serial Number
(on label on the back or bottom of product) 
Second Serial Number
(on label on the back or bottom of second product) 
Price Paid (excluding tax)

What was your main reason to buy a vacuum?
   Your choices for this question are:
  • Current Vacuum was old
  • Current vacuum is broken/does not work
  • Needed a second unit
  • Wanted better performance
  • Wanted a different kind of vacuum cleaner
  • Received as a gift
  • Weight
  • Other

The Main Reason is
What were the top three factors that influenced you to purchase a Riccar? (choose up to 3)
   Your choices for this question are:
  • Power
  • On-board tools
  • Cleaning performance
  • Warranty
  • Quality made
  • Filtration
  • Attractiveness
  • Price
  • Features
  • Ease-of-use
  • Recommendation by dealer/salesman
  • Recommendation by family/friend
  • Radio ad
  • TV ad
  • Magazine ad
  • Special promotion
  • Weight
  • Other

First Factor  
Second Factor  
Third Factor  

How often do you vacuum?
Please rate 1-10 (10 being the highest)
Satisfaction with the Riccar product?
Satisfaction with the dealer's service?
Satisfaction with the dealer's store?

Please check how you first became aware of the Riccar product you have just purchased?
Where was this product purchased?
If you chosen Other, please specify where?
Please leave this field blank:
Year of Birth 
Your marital status 
Which group describes your annual household income?
Your profession is Your spouse is a

For your primary residence, do you:
How many people reside in your household?
Do you have any pets?
Any suggestions for improving our products?